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Oate run:'08/26193 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report $5104 <br /> r" <br /> Run by : SYLVIA Page # 1 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM <br /> COMPLAINT # CO000558 Program/Element : 1600 <br /> Taken by 2115 CAROLINE NASCIMENTO Date: 08/28193 Assigned tt� Date: 09/26/93 <br /> Facility Name: _ Fac ID: <br /> 1 ,�.�r.� BILL to inventoried FA ILITY: ----- <br /> Location: -W . CHARTER WAY STKN (Must have FACILITY ID$) <br /> Complainant: <br /> <br /> <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name: THE SPOT Loc Code <br /> Address: _ /Z3 3 _ BOS Dist <br /> City : STOCKTON 95201 APN # <br /> Phone : <br /> OWNER Info - BILLING Marty: —_—_-- + <br /> Owner/Ageht: Home Phone: <br /> Address: Work Phone: <br /> City : <br /> Nature of Complaint: ' <br /> -8/21 /93 COMPLAINTANT & FATHER WENT TO THE SPOT FOR COFFEE ( SAT ACROSS r <br /> FROM TABLE #4 ) COCK 3-C-RAWLING ALL OVER THE CHAIRS FLOORS <br /> MENTIONED TO WAITRESS SHE STATED WHOLE PLACE: WAS FILTHY- + <br /> 4 <br /> + <br />' COMPLAINT Info - <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BO OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondeace <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: ' <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File _ 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> f <br /> 4 <br /> r <br /> Circie appropriate Unit if complaint in another PROGRAM jurisdiction, Have Complaint Record and PIE updated <br /> D <br /> & Forwarded to UNIT: I II III P for Investigation <br /> t <br />